@article{ART002506696},
author={송대건 and Whoan Jeang Kim and Jae Won Lee and 장선호 and Kun Young Park and 김용호 and Sang Beom Ma},
title={The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2019},
volume={26},
number={3},
pages={76-83}
TY - JOUR
AU - 송대건
AU - Whoan Jeang Kim
AU - Jae Won Lee
AU - 장선호
AU - Kun Young Park
AU - 김용호
AU - Sang Beom Ma
TI - The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients
JO - Journal of Korean Society of Spine Surgery
PY - 2019
VL - 26
IS - 3
PB - Korean Society Of Spine Surgery
SP - 76
EP - 83
SN - 2093-4378
AB - Study Design: Retrospective study.
Objectives: The purpose of this study was to gassess gln-llgnmnnlnl mm-the effect of saittaspiopevic aignmetothe ciicasyptosof thoracolumbar kyphosis (TLK; T10-L2 Cobb’s angle >20°) inosteoporotic patients.
Summary of Literature Review: Few studies have investigated the clinicalsymptoms and radiologicalfeatures of TLK caused by degenerative changes. There is also controversy over whether clinicalsymptoms willdeteriorate inpatients with TLK or which treatment should be chosenaccordingto the degree of TLK.
Materials and Methods: FromMay 2005 to May 2016, we reviewed 75 patients who were diagnosed with TLK (T10-L2 Cobb’s angle >20°) and osteoporosis. Patients were excluded fromthe study if they had neurologicalsymptoms, underlyingspinaldisorders, or unstable vertebralfractures. Fifty patients with TLK due to anosteoporotic vertebralcompressionfracture (group F) and 25 patients with senile TLK (group S) were assessed by clinicalsymptoms and radiologicalparameters. Thoracolumbar kyphosis angle and sagittalverticalaxis (SVA) were also analyzed. Clinicalsymptoms were assessed usinga visualanalogue scale (VAS) and the Oswestry Disability Index (ODI).
Results: There were no significant differences inclinicalsymptoms (VAS, ODI) and radiologicalparameters betweengroups F and S, or accordingto the degree of -33-44lnl mmgnnlmn ngl ml-TLK (20°-30°, 0°-40°, >0°). Ciicasyptoswere significatyore severe ipatiets with saittaibaance (SVA >5 cm) thaninthose with sagittalbalance.
Conclusions: Sagittalimbalance is a more important factor affectingclinicalsymptoms thanthe cause or the degree of TLK. Therefore, sagittalimbalance should be considered inthe management of TLK inosteoporotic patients.
Key Words: Thoracolumbar kyphosis, Osteoporosis, Sagittalspino-pelvic alignment, Sagittalimbalance
KW - Thoracolumbar kyphosis;Osteoporosis;Sagittal spino-pelvic alignment;Sagittal imbalance
DO -
UR -
ER -
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호 and Sang Beom Ma. (2019). The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients. Journal of Korean Society of Spine Surgery, 26(3), 76-83.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호 and Sang Beom Ma. 2019, "The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients", Journal of Korean Society of Spine Surgery, vol.26, no.3 pp.76-83.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호, Sang Beom Ma "The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients" Journal of Korean Society of Spine Surgery 26.3 pp.76-83 (2019) : 76.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호, Sang Beom Ma. The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients. 2019; 26(3), 76-83.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호 and Sang Beom Ma. "The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients" Journal of Korean Society of Spine Surgery 26, no.3 (2019) : 76-83.
송대건; Whoan Jeang Kim; Jae Won Lee; 장선호; Kun Young Park; 김용호; Sang Beom Ma. The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients. Journal of Korean Society of Spine Surgery, 26(3), 76-83.
송대건; Whoan Jeang Kim; Jae Won Lee; 장선호; Kun Young Park; 김용호; Sang Beom Ma. The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients. Journal of Korean Society of Spine Surgery. 2019; 26(3) 76-83.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호, Sang Beom Ma. The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients. 2019; 26(3), 76-83.
송대건, Whoan Jeang Kim, Jae Won Lee, 장선호, Kun Young Park, 김용호 and Sang Beom Ma. "The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients" Journal of Korean Society of Spine Surgery 26, no.3 (2019) : 76-83.